Health related quality of life of the patients after transient ischaemic attack: is carotid endarterectomy (CEA) or carotid artery stenting (CAS) more influential?
Journal Title: Acta Neuropsychologica - Year 2018, Vol 16, Issue 1
Abstract
Although randomized trials have proven the benefit of revascularization with the use of carotid endarterectomy (CEA) or stenting (CAS) for appropriate patients, health care purchasers increasingly look beyond clinical outcome toward measures of health-related quality of life (HRQoL) in apportioning limited resources.<br/><br/>36 patients after TIA participated in this study. One group (n=18) had undergone CEA, whereas the second group (n=18) had undergone CAS. Both groups were matched according to age and sex. The Short Form 36 (SF-36) was used to assess the differences in patient-perceived HRQoL in two groups of patients who had suffered minor cerebral ischemic events.<br/><br/>No significant difference in health profile between the CEA and CAS was detected for the eight SF-36 domains. However, the CEA group rated a significantly improved change in general health after one year compared with the CAS group (p<0.001). A greater proportion of the CEA group comparing to the CAS group thought their treatment had been successful and that their health had been improved (p<0.001). Both groups shared the same level of anxiety over potential future cerebral ischemic events (p=0.3).<br/><br/>Patients' perception of HRQoL measured by the SF-36 domains was almost identical between the CEA and CAS apart from a small but significant improvement in self-reported overall health in the CEA group after one year follow up. HRQoL outcome measures may be of value in future clinical trials of cerebral revascularization to compare the effectiveness of carotid revascularization with the particular method of operation.<br/><br/>
Authors and Affiliations
Mariusz Trystuła
Keywords
Related Articles
- EP ID EP274317
- DOI 10.5604/01.3001.0011.7065
- Views 98
- Downloads 0
FINE ART AND THE QUALITY OF LIFE OF A PROMINENT ARTIST WITH FRONTOTEMPORAL DEMENTIA
In neuroscience, no coherent definition of art is generally accepted, because its boundaries are redefined continuously, and at any time one may encounter an artwork that departs from the existing definitions. Art is con...
The effects of phonemic cueing on confrontation naming in Frontotemporal Dementia and Alzheimer’s Disease: evidence from the Polish Version of the Boston Naming Test
Confrontation naming of objects, as measured by the Boston Naming Test (BNT), is impaired in both fronto-temporal dementia (FTD) and Alzheimer’s disease (AD). However, the profile of naming disturbances seems to be diffe...
MINDSET TYPE VERSUS LEVEL OF CORTICAL ACTIVATION
The concept of mindset, developed by P. Gollwitzer, distinguishes motivational and volitional elements in the action process. The mindset is a relatively constant tendency displayed by individuals and observed in many si...
Executive dysfunction in depression: a study of prefrontal dysfunction
Depression is a serious and common psychiatric disorder that affects millions of people around the world. A growing body of scientific literature has correlated depression with dysfunction in the region of the frontal lo...
THE PROCEDURE OF INTRAOPERATIVE NEUROPSYCHOLOGICAL ASSESSMENT IN THE EXCISION OF CEREBRAL TUMOURS LOCATED IN ELOQUENT AREAS
Background: This paper discusses in detail the procedure of neuropsychological assessment before, during and after awaked craniotomies carried out for the excision of neoplasms located in the eloquent areas of the brain....